摘要
目的比较自体脂肪注射术与结膜入路眶隔脂肪带蒂移植术矫正年轻人眶下缘凹陷畸形的效果。方法2017年9月至2019年9月,南昌大学第一附属医院整形外科收治眶下缘凹陷伴眶隔脂肪膨出患者40例,男9例,女31例,年龄20~40岁,平均30.6岁。根据治疗方法将患者分为两组,每组20例,1组经结膜入路眶隔脂肪释放重置术,2组在眶隔脂肪适量去除后行分层分区结构脂肪、微脂肪颗粒、纳米脂肪注射术。结合泪沟畸形等级量表(TTRS)和患者满意度评估术后效果。结果两组患者术后6、12个月TTRS评分与术前比较,差异有统计学意义(均P<0.01)。术后6~12个月两组患者TTRS评分比较,差异有统计学意义(均P<0.01);术后6个月两组患者TTRS各项评分改善比较,2组患者泪槽深度(P<0.05)、色素沉着(P<0.01)、皱褶(P<0.01)改善优于1组。2组患者满意度(95%)高于1组(70%),其差异有统计学意义(P<0.01)。结论年轻人眶下缘凹陷经眶隔脂肪适量去除后分层分区自体脂肪注射术能获得较好效果,不仅减轻泪槽深度,还对眶周色素沉着和细纹具有改善作用。
Objective To compare the clinical efficacy of autologous fat injection and conjunctival pedicled orbital septal fat grafting for infraorbital margin depression in young people.Methods Fourty young patients with lower eyelid pouch and infraorbital margin depression with age of 20 to 40 years and average age of 30.6 yaers in the First Affiliated Hospital of Nanchang University from September 2017 to September 2019 were enrolled.According to the surgical method,all patients were divided into 2 groups with 20 cases each.Group 1 underwent transconjunctival orbital septum fat reset.Group 2 underwent various autologous fat injection after proper amount of orbital septal fat being removed,including structural fat,fine-particle fat and nano-fat,performed in different parts and layers.The tear trough rating scale(TTRS)scores and patients'satisfaction at 1 year after operation between 2 groups were compared.Results Compared with the preoperative TTRS scores,the differences in scores at 6 months and 1 year after surgery were statistically significant(P<0.01).The scores between two groups were compared at 6 months and 1 year respectively after the operation,and the difference were both statistically significant(P<0.01).6 months after the operation,the TTRS scores including four items were carefully compared between the two groups.It showed that the reduction of tear groove depth(P<0.05),pigmentation(P<0.01)and wrinkle(P<0.01)in group 2 were more obvious than those in group 1.The percentage of satisfaction in group 2(95%)was higher than that in the group 1(70%),and the difference was statistically significant(P<0.01).Conclusions For infraorbital margin depression of young people,after proper amount of orbital septal fat being removed,various free fats graft injection into different parts and layers could obtain better treatment results,reducing not only the depth of the tear groove,but also periorbital pigmentation and fine wrinkles.
作者
刘鲁冰
黄进军
廖怀伟
万珺
李聪
黄娜
黄烨
文辉才
Liu Lubing;Huang Jinjun;Liao Huaiwei;Wan Jun;Li Cong;Huang Na;Huang Ye;Wen Huicai(Department of Plastic and Cosmetic Surgery,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)
出处
《中华医学美学美容杂志》
2021年第5期374-378,共5页
Chinese Journal of Medical Aesthetics and Cosmetology
关键词
修复外科手术
睑袋修复术
眶隔脂肪
自体脂肪注射
眶下缘凹陷
泪沟畸形
Reconstructive surgical procedures
Lower eyelid pouch blepharoplasty
Orbital septum fat
Autologous fat injection
Infraorbital margin depression
Tear trough deformity
